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Coroner’s reportPrevention of future deaths · 2014-0426

“Mr Andrews was admitted to Milton — Hospital on 31% March 2014 following a fall”

Dated 3 Oct 2014, from the coroner for Milton Keynes. Sent to 1 organisation or person.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 28 Nov 2014. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated3 Oct 2014
  2. Deadline28 Nov 2014
  3. Published on judiciary.uk3 Oct 2014
  4. Today27 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Milton Keynes University Hospital NHS Foundation TrustNamed in the report as “Milton Keynes Hospital”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 28 Nov 2014. A reply may have been sent and not yet published.

The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

— (1) Mr Andrews was admitted to Milton — Hospital on 31% March 2014 following a fall. (2) Following detailed discussion wit Mr Andrews was discharged from hospital. (3) Mr Andrews was insistent that he wanted to be discharged. (4) (RJ agreed reluctantly, but decided that a discharge would be in Mr Andrews best interest given his insistence upon leaving and returning home, plus his unwillingness to remain in Milton Keynes Hospital. (5) Upon discharge the plan agreed with EEE was to implement a care package to assist Mr Andrews at home. (6) On the day of discharge Mr Andrews family were not advised of his discharge. As a result, Mr Andrews arrived home by ambulance alone, the heating was not on and there were no groceries. Importantly the family were not present to give any physical assistance. (7) Formal care arrangements were not arranged until 258 days later (Monday). It was too late, as Mr Andrews had fallen when home alone on the first day and was found on the floor by his son, who happened to phone his father, to be told he was at home. (8) Discharge arrangements for frail, vulnerable patients must ensure that patients can only be sent home if there is appropriate care in place at home to meet their needs.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2014-0426
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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